RINA MYKLAK (NPI# 1578954657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578954657 |
| Entity Type | Individual |
| Full Name | RINA MYKLAK |
| Credential | NP |
| Practice Address |
25117 Sw Parkway Ave Ste B Wilsonville OR 97070-9697 |
| Practice Telephone | 5037756500 |
| Practice Fax Number | 5037752275 |
| Mailing Telephone | 5037756500 |
| Mailing Fax Number | 5037752275 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201500844NP PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON NURSE PRACTITIONER LICENSE | 201500844NP PP | 01 |
| Street Address |
25117 SW PARKWAY AVE STE B |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-9697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829258 | Avamere Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 25117 Sw Parkway Ave, Ste F, Wilsonville, OR 97070-9697 | 2005-05-23 |
| 1184151805 | Jessica Beers | Speech-Language Pathologist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-05-11 |
| 1497280044 | Matthew Wayne | Physical Therapy Assistant | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070 | 2017-04-20 |
| 1336673029 | Mary Lawrence Williams | Physical Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-04-19 |
| 1447790191 | Rebecca Lauren Reinhardt | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-28 |
| 1821537911 | Catherine Bonde | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-22 |
| 1154860419 | Joy Hallett | Occupational Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-02-20 |
| 1205374931 | Lauryl James | Physical Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-02-01 |
| 1992243620 | Danielle Fernanda Jackovitz | Speech-Language Pathologist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-01 |
| 1124562822 | Andrea Earnest | Occupational Therapy Assistant | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699224 | Lindsay Marie Mcginnis | Nurse Practitioner | 25117swparkway Ave B, Wilsonville, OR 97070-9697 | 2015-09-18 |
| 1134498652 | Angela Myriah Rose | Nurse Practitioner | 28900 Sw Villebois Dr., Suite D, Wilsonville, OR 97070 | 2011-12-29 |
| 1558840488 | Jesus Manuel Legarda Ornelas | Nurse Practitioner | 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 | 2018-08-10 |
| 1366893208 | Northwest Hospice LLC, Dba Millcreek Primary and Palliative Care | Nurse Practitioner | 25115 Sw Parkway Ave Ste B, Wilsonville, OR 97070-8891 | 2016-06-22 |
| 1255760070 | Np2u, LLC | Nurse Practitioner | 25117 Sw Parkway Ave, Suite F, Wilsonville, OR 97070-9697 | 2013-11-02 |
| 1407294853 | Babbette Lemar Murphy | Nurse Practitioner | 25117 Sw Parkway Ave Ste B, Wilsonville, OR 97070-9697 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628417 | Biohax | Nurse Practitioner | 17933 Nw Evergreen Pkwy Ste 285, Beaverton, OR 97006-7661 | 2020-10-27 |
| 1932708526 | Rebecca Ann Mickel | Nurse Practitioner | 22244 Sw Nottingham Ct, Sherwood, OR 97140-9816 | 2020-10-23 |
| 1184221780 | Catherine Slade | Nurse Practitioner | 3640 Nw Samaritan Dr # 100, Corvallis, OR 97330-3784 | 2020-10-06 |
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1740800283 | Digital Clinic LLC | Nurse Practitioner | 30 E 33rd Ave Unit 5822, Eugene, OR 97405-0819 | 2020-04-24 |
| 1356977144 | Maria Elena Rivera | Nurse Practitioner | 1801 Highway 99 N Ste B, Ashland, OR 97520-9152 | 2020-03-12 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1497249007 | Kansys Clouse | Nurse Practitioner | 1639 Se Ensign Ln # B103, Warrenton, OR 97146-7308 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.